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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-220-12-130-139</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2660</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Роль повышенной проницаемости кишечника в развитии и прогрессировании заболеваний печени</article-title><trans-title-group xml:lang="en"><trans-title>Role of increased intestinal permeability in the development and progression of liver diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7367-9219</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мехтиев</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Mekhtiyev</surname><given-names>S. N.</given-names></name></name-alternatives><email xlink:type="simple">sabirm@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0842-855X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мехтиева</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mekhtiyeva</surname><given-names>O. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7379-6896</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Берко</surname><given-names>О. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Berko</surname><given-names>O. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3898-2017</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колодкин</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolodkin</surname><given-names>A. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации; Гастроэнтерологический центр «Эксперт»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Academician I. P. Pavlov First St. Petersburg State Medical University; Gastroenterological Center “Expert”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Северо-Западный окружной научно-клинический центр имени Л. Г. Соколова Федерального медико-биологического агентства России»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western Regional Scientific and Clinical Center named after L. G. Sokolov of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научное общество «Микробиота»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Society “Microbiota”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>18</day><month>12</month><year>2023</year></pub-date><volume>0</volume><issue>12</issue><fpage>130</fpage><lpage>139</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мехтиев С.Н., Мехтиева О.А., Берко О.М., Колодкин А.М., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Мехтиев С.Н., Мехтиева О.А., Берко О.М., Колодкин А.М.</copyright-holder><copyright-holder xml:lang="en">Mekhtiyev S.N., Mekhtiyeva O.A., Berko O.M., Kolodkin A.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.nogr.org/jour/article/view/2660">https://www.nogr.org/jour/article/view/2660</self-uri><abstract><p>Феномен «дырявого кишечника» или повышенной проницаемости кишечника (ППК) активно изучается на протяжении последних двух десятилетий. Доказана его роль в развитии синдрома раздраженной кишки и ряда других патологий кишечника. В то же время накапливается все больше сведений о влиянии ППК на возникновение и прогрессирование заболеваний печени. В данной статье представлен литературный обзор последних материалов о взаимосвязи кишечника и печени через феномен ППК и новые потенциальные точки для терапевтического воздействия.</p></abstract><trans-abstract xml:lang="en"><p>The phenomenon of “leaky gut” or increased intestinal permeability has been actively studied over the past two decades. Its role has been proven in the development of irritable bowel syndrome and a number of other intestinal pathologies. At the same time, more and more information is accumulating on the effect of “leaky gut” on the occurrence and progression of liver diseases. This article presents a literature review of recent materials on the relationship between the intestine and the liver through the phenomenon of “leaky gut” and new potential points for therapeutic intervention.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кишечный барьер</kwd><kwd>повышенная проницаемость кишечника</kwd><kwd>микробиота</kwd><kwd>хронические заболевания печени</kwd><kwd>пребиотики</kwd><kwd>метабиотики</kwd></kwd-group><kwd-group xml:lang="en"><kwd>intestinal barrier</kwd><kwd>leaky gut</kwd><kwd>microbiota</kwd><kwd>chronic liver diseases</kwd><kwd>prebiotics</kwd><kwd>metabiotics</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Portincasa P, Bonfrate L, Khalil M, Angelis M, Calabrese FM, D’Amato M, Wang DQ, Di Ciaula A.Intestinal Barrier and Permeability in Health, Obesity and NAFLD. Biomedicines. 2021 Dec 31;10(1):83. doi: 10.3390/biomedicines10010083.</mixed-citation><mixed-citation xml:lang="en">Portincasa P, Bonfrate L, Khalil M, Angelis M, Calabrese FM, D’Amato M, Wang DQ, Di Ciaula A.Intestinal Barrier and Permeability in Health, Obesity and NAFLD. Biomedicines. 2021 Dec 31;10(1):83. doi: 10.3390/biomedicines10010083.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Hiippala K, Jouhten H, Ronkainen A, Hartikainen A, Kainulainen V, Jalanka J, Satokari R. The Potential of Gut Commensals in Reinforcing Intestinal Barrier Function and Alleviating Inflammation. Nutrients. 2018 Jul 29;10(8):988. doi: 10.3390/nu10080988.</mixed-citation><mixed-citation xml:lang="en">Hiippala K, Jouhten H, Ronkainen A, Hartikainen A, Kainulainen V, Jalanka J, Satokari R. The Potential of Gut Commensals in Reinforcing Intestinal Barrier Function and Alleviating Inflammation. Nutrients. 2018 Jul 29;10(8):988. doi: 10.3390/nu10080988.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Bauer M.A., Kainz K., Carmona-Gutierrez D., Madeo F. Microbial wars: Competition in ecological niches and within the microbiome. Microb Cell. 2018 May 7;5(5):215-219. doi: 10.15698/mic2018.05.628.</mixed-citation><mixed-citation xml:lang="en">Bauer M.A., Kainz K., Carmona-Gutierrez D., Madeo F. Microbial wars: Competition in ecological niches and within the microbiome. Microb Cell. 2018 May 7;5(5):215-219. doi: 10.15698/mic2018.05.628.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Cornick S, Tawiah A, Chadee K. Roles and regulation of the mucus barrier in the gut. Tissue Barriers. 2015 Apr 3;3(1-2): e982426. doi: 10.4161/21688370.2014.982426.</mixed-citation><mixed-citation xml:lang="en">Cornick S, Tawiah A, Chadee K. Roles and regulation of the mucus barrier in the gut. Tissue Barriers. 2015 Apr 3;3(1-2): e982426. doi: 10.4161/21688370.2014.982426.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Macpherson A.J., Geuking M. B., McCoy K. D. Homeland security: IgA immunity at the frontiers of the body. Trends Immunol. 2012 Apr;33(4):160-7. doi: 10.1016/j.it.2012.02.002.</mixed-citation><mixed-citation xml:lang="en">Macpherson A.J., Geuking M. B., McCoy K. D. Homeland security: IgA immunity at the frontiers of the body. Trends Immunol. 2012 Apr;33(4):160-7. doi: 10.1016/j.it.2012.02.002.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Chopyk D.M., Grakoui A. Contribution of the Intestinal Microbiome and Gut Barrier to Hepatic Disorders. Gastroenterology. 2020 Sep;159(3):849-863. doi: 10.1053/j.gastro.2020.04.077.</mixed-citation><mixed-citation xml:lang="en">Chopyk D.M., Grakoui A. Contribution of the Intestinal Microbiome and Gut Barrier to Hepatic Disorders. Gastroenterology. 2020 Sep;159(3):849-863. doi: 10.1053/j.gastro.2020.04.077.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Bennett K.M., Walker S. L., Lo D. D. Epithelial microvilli establish an electrostatic barrier to microbial adhesion. Infect Immun. 2014 Jul;82(7):2860-71. doi: 10.1128/IAI.01681-14.</mixed-citation><mixed-citation xml:lang="en">Bennett K.M., Walker S. L., Lo D. D. Epithelial microvilli establish an electrostatic barrier to microbial adhesion. Infect Immun. 2014 Jul;82(7):2860-71. doi: 10.1128/IAI.01681-14.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Van Itallie C. M., Anderson J. M. Architecture of tight junctions and principles of molecular composition. Semin Cell Dev Biol. 2014 Dec;36:157-65. doi: 10.1016/j.semcdb.2014.08.011.</mixed-citation><mixed-citation xml:lang="en">Van Itallie C. M., Anderson J. M. Architecture of tight junctions and principles of molecular composition. Semin Cell Dev Biol. 2014 Dec;36:157-65. doi: 10.1016/j.semcdb.2014.08.011.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Luissint A.C., Parkos C. A., Nusrat A. Inflammation and the Intestinal Barrier: Leukocyte-Epithelial Cell Interactions, Cell Junction Remodeling, and Mucosal Repair. Gastroenterology. 2016 Oct;151(4):616-32. doi: 10.1053/j.gastro.2016.07.008.</mixed-citation><mixed-citation xml:lang="en">Luissint A.C., Parkos C. A., Nusrat A. Inflammation and the Intestinal Barrier: Leukocyte-Epithelial Cell Interactions, Cell Junction Remodeling, and Mucosal Repair. Gastroenterology. 2016 Oct;151(4):616-32. doi: 10.1053/j.gastro.2016.07.008.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Dommett R., Zilbauer M., George J. T., Bajaj-Elliott M. Innate immune defence in the human gastrointestinal tract. Mol. Immunol. 2005;42:903-912. doi: 10.1016/j.molimm.2004.12.004.</mixed-citation><mixed-citation xml:lang="en">Dommett R., Zilbauer M., George J. T., Bajaj-Elliott M. Innate immune defence in the human gastrointestinal tract. Mol. Immunol. 2005;42:903-912. doi: 10.1016/j.molimm.2004.12.004.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Meyer-Hoffert U., Hornef M. W., Henriques-Normark B., Axelsson L. G., Midtvedt T., Putsep K., Andersson M. Secreted enteric antimicrobial activity localises to the mucus surface layer. Gut. 2008;57:764-771. doi: 10.1136/gut.2007.141481.</mixed-citation><mixed-citation xml:lang="en">Meyer-Hoffert U., Hornef M. W., Henriques-Normark B., Axelsson L. G., Midtvedt T., Putsep K., Andersson M. Secreted enteric antimicrobial activity localises to the mucus surface layer. Gut. 2008;57:764-771. doi: 10.1136/gut.2007.141481.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Wiest R., Lawson M., Geuking M. Pathological bacterial translocation in liver cirrhosis. J. Hepatol. 2014;60:197-209. doi: 10.1016/j.jhep.2013.07.044.</mixed-citation><mixed-citation xml:lang="en">Wiest R., Lawson M., Geuking M. Pathological bacterial translocation in liver cirrhosis. J. Hepatol. 2014;60:197-209. doi: 10.1016/j.jhep.2013.07.044.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Spadoni I., Zagato E., Bertocchi A., Paolinelli R., Hot E., Di Sabatino A., Caprioli F., Bottiglieri L., Oldani A., Viale G., et al. A gut-vascular barrier controls the systemic dissemination of bacteria. Science. 2015;350:830-834. doi: 10.1126/science.aad0135.</mixed-citation><mixed-citation xml:lang="en">Spadoni I., Zagato E., Bertocchi A., Paolinelli R., Hot E., Di Sabatino A., Caprioli F., Bottiglieri L., Oldani A., Viale G., et al. A gut-vascular barrier controls the systemic dissemination of bacteria. Science. 2015;350:830-834. doi: 10.1126/science.aad0135.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Balmer M.L., Slack E., de Gottardi A., Lawson M. A., Hapfelmeier S., Miele L., Grieco A., Van Vlierberghe H., Fahrner R., Patuto N., et al. The liver may act as a firewall mediating mutualism between the host and its gut commensal microbiota. Sci. Transl. Med. 2014;6:237ra266. doi: 10.1126/scitranslmed.3008618.</mixed-citation><mixed-citation xml:lang="en">Balmer M.L., Slack E., de Gottardi A., Lawson M. A., Hapfelmeier S., Miele L., Grieco A., Van Vlierberghe H., Fahrner R., Patuto N., et al. The liver may act as a firewall mediating mutualism between the host and its gut commensal microbiota. Sci. Transl. Med. 2014;6:237ra266. doi: 10.1126/scitranslmed.3008618.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Wood N. J. Liver: The liver as a firewall - clearance of commensal bacteria that have escaped from the gut. Nat. Rev. Gastroenterol. Hepatol. 2014;11:391. doi: 10.1038/nrgastro.2014.90.</mixed-citation><mixed-citation xml:lang="en">Wood N. J. Liver: The liver as a firewall - clearance of commensal bacteria that have escaped from the gut. Nat. Rev. Gastroenterol. Hepatol. 2014;11:391. doi: 10.1038/nrgastro.2014.90.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Maynard C.L., Elson C. O., Hatton R. D., Weaver C. T. Reciprocal interactions of the intestinal microbiota and immune system. Nature. 2012;489:231-241. doi: 10.1038/nature11551.</mixed-citation><mixed-citation xml:lang="en">Maynard C.L., Elson C. O., Hatton R. D., Weaver C. T. Reciprocal interactions of the intestinal microbiota and immune system. Nature. 2012;489:231-241. doi: 10.1038/nature11551.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Macpherson A.J., Uhr T. Induction of protective IgA by intestinal dendritic cells carrying commensal bacteria. Science. 2004;303:1662-1665. doi: 10.1126/science.1091334.</mixed-citation><mixed-citation xml:lang="en">Macpherson A.J., Uhr T. Induction of protective IgA by intestinal dendritic cells carrying commensal bacteria. Science. 2004;303:1662-1665. doi: 10.1126/science.1091334.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Etienne-Mesmin L., Vijay-Kumar M., Gewirtz A. T., Chassaing B. Hepatocyte Toll-Like Receptor 5 Promotes Bacterial Clearance and Protects Mice Against High-Fat Diet-Induced Liver Disease. Cell Mol. Gastroenterol. Hepatol. 2016;2:584-604. doi: 10.1016/j.jcmgh.2016.04.007.</mixed-citation><mixed-citation xml:lang="en">Etienne-Mesmin L., Vijay-Kumar M., Gewirtz A. T., Chassaing B. Hepatocyte Toll-Like Receptor 5 Promotes Bacterial Clearance and Protects Mice Against High-Fat Diet-Induced Liver Disease. Cell Mol. Gastroenterol. Hepatol. 2016;2:584-604. doi: 10.1016/j.jcmgh.2016.04.007.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Lee W.Y., Moriarty T. J., Wong C. H., Zhou H., Strieter R. M., van Rooijen N., Chaconas G., Kubes P. An intravascular immune response to Borrelia burgdorferi involves Kupffer cells and iNKT cells. Nat. Immunol. 2010;11:295-302. doi: 10.1038/ni.1855.</mixed-citation><mixed-citation xml:lang="en">Lee W.Y., Moriarty T. J., Wong C. H., Zhou H., Strieter R. M., van Rooijen N., Chaconas G., Kubes P. An intravascular immune response to Borrelia burgdorferi involves Kupffer cells and iNKT cells. Nat. Immunol. 2010;11:295-302. doi: 10.1038/ni.1855.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Schwabe R.F., Seki E., Brenner D. A. Toll-like receptor signaling in the liver. Gastroenterology. 2006;130:1886-1900. doi: 10.1053/j.gastro.2006.01.038.</mixed-citation><mixed-citation xml:lang="en">Schwabe R.F., Seki E., Brenner D. A. Toll-like receptor signaling in the liver. Gastroenterology. 2006;130:1886-1900. doi: 10.1053/j.gastro.2006.01.038.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Simanenkov V.I., Maev I. V., Tkacheva O. N. et al. Syndrome of increased epithelial permeability in clinical practice. Multidisciplinary national Consensus. Cardiovascular Therapy and Prevention. 2021;20(1):2758. (In Russ.) doi:10.15829/1728-8800-2021-2758.@@ Симаненков В. И., Маев И. В., Ткачева О.Н, и соавт. Синдром повышенной эпителиальной проницаемости в клинической практике. Мультидисциплинарный национальный консенсус. Кардиоваскулярная терапия и профилактика. 2021;20(1):2758. doi:10.15829/1728-8800-2021-2758.</mixed-citation><mixed-citation xml:lang="en">Simanenkov V.I., Maev I. V., Tkacheva O. N. et al. Syndrome of increased epithelial permeability in clinical practice. Multidisciplinary national Consensus. Cardiovascular Therapy and Prevention. 2021;20(1):2758. (In Russ.) doi:10.15829/1728-8800-2021-2758.@@ Симаненков В. И., Маев И. В., Ткачева О.Н, и соавт. Синдром повышенной эпителиальной проницаемости в клинической практике. Мультидисциплинарный национальный консенсус. Кардиоваскулярная терапия и профилактика. 2021;20(1):2758. doi:10.15829/1728-8800-2021-2758.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Fasano A. All disease begins in the (leaky) gut: role of zonulin-mediated gut permeability in the pathogenesis of some chronic inflammatory diseases. F1000Res. 2020 Jan 31;9: F1000 Faculty Rev-69. doi: 10.12688/f1000research.20510.1.</mixed-citation><mixed-citation xml:lang="en">Fasano A. All disease begins in the (leaky) gut: role of zonulin-mediated gut permeability in the pathogenesis of some chronic inflammatory diseases. F1000Res. 2020 Jan 31;9: F1000 Faculty Rev-69. doi: 10.12688/f1000research.20510.1.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Kinashi Y., Hase K. Partners in Leaky Gut Syndrome: Intestinal Dysbiosis and Autoimmunity. Front Immunol. 2021 Apr 22;12:673708. doi: 10.3389/fimmu.2021.673708.</mixed-citation><mixed-citation xml:lang="en">Kinashi Y., Hase K. Partners in Leaky Gut Syndrome: Intestinal Dysbiosis and Autoimmunity. Front Immunol. 2021 Apr 22;12:673708. doi: 10.3389/fimmu.2021.673708.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Christovich A., Luo X. M. Gut Microbiota, Leaky Gut, and Autoimmune Diseases. Front Immunol. 2022 Jun 27;13:946248. doi: 10.3389/fimmu.2022.946248.</mixed-citation><mixed-citation xml:lang="en">Christovich A., Luo X. M. Gut Microbiota, Leaky Gut, and Autoimmune Diseases. Front Immunol. 2022 Jun 27;13:946248. doi: 10.3389/fimmu.2022.946248.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Camilleri M. Leaky gut: mechanisms, measurement and clinical implications in humans. Gut. 2019 Aug;68(8):1516-1526. doi: 10.1136/gutjnl-2019-318427.</mixed-citation><mixed-citation xml:lang="en">Camilleri M. Leaky gut: mechanisms, measurement and clinical implications in humans. Gut. 2019 Aug;68(8):1516-1526. doi: 10.1136/gutjnl-2019-318427.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Odenwald M.A., Turner J. R.Intestinal permeability defects: is it time to treat? Clin Gastroenterol Hepatol. 2013 Sep;11(9):1075-83. doi: 10.1016/j.cgh.2013.07.001.</mixed-citation><mixed-citation xml:lang="en">Odenwald M.A., Turner J. R.Intestinal permeability defects: is it time to treat? Clin Gastroenterol Hepatol. 2013 Sep;11(9):1075-83. doi: 10.1016/j.cgh.2013.07.001.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Fritscher-Ravens A., Schuppan D., Ellrichmann M. et al. Confocal endomicroscopy shows food-associated changes in the intestinal mucosa of patients with irritable bowel syndrome. Gastroenterology. 2014 Nov;147(5):1012-20.e4. doi: 10.1053/j.gastro.2014.07.046.</mixed-citation><mixed-citation xml:lang="en">Fritscher-Ravens A., Schuppan D., Ellrichmann M. et al. Confocal endomicroscopy shows food-associated changes in the intestinal mucosa of patients with irritable bowel syndrome. Gastroenterology. 2014 Nov;147(5):1012-20.e4. doi: 10.1053/j.gastro.2014.07.046.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Peters S.A., Edogawa S., Sundt W. J. et al. Constipation-Predominant Irritable Bowel Syndrome Females Have Normal Colonic Barrier and Secretory Function. Am J Gastroenterol. 2017 Jun;112(6):913-923. doi: 10.1038/ajg.2017.48.</mixed-citation><mixed-citation xml:lang="en">Peters S.A., Edogawa S., Sundt W. J. et al. Constipation-Predominant Irritable Bowel Syndrome Females Have Normal Colonic Barrier and Secretory Function. Am J Gastroenterol. 2017 Jun;112(6):913-923. doi: 10.1038/ajg.2017.48.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Kessoku T., Kobayashi T., Tanaka K. et al. The Role of Leaky Gut in Nonalcoholic Fatty Liver Disease: A Novel Therapeutic Target.Int J Mol Sci. 2021 Jul 29;22(15):8161. doi: 10.3390/ijms22158161.</mixed-citation><mixed-citation xml:lang="en">Kessoku T., Kobayashi T., Tanaka K. et al. The Role of Leaky Gut in Nonalcoholic Fatty Liver Disease: A Novel Therapeutic Target.Int J Mol Sci. 2021 Jul 29;22(15):8161. doi: 10.3390/ijms22158161.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Miele L., Valenza V., La Torre G. et al. Increased intestinal permeability and tight junction alterations in nonalcoholic fatty liver disease. Hepatology. 2009;49:1877-1887. doi: 10.1002/hep.22848.</mixed-citation><mixed-citation xml:lang="en">Miele L., Valenza V., La Torre G. et al. Increased intestinal permeability and tight junction alterations in nonalcoholic fatty liver disease. Hepatology. 2009;49:1877-1887. doi: 10.1002/hep.22848.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Cani P.D., Amar J., Iglesias M. A. et al. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes. 2007;56:1761-1772. doi: 10.2337/db06-1491.</mixed-citation><mixed-citation xml:lang="en">Cani P.D., Amar J., Iglesias M. A. et al. Metabolic endotoxemia initiates obesity and insulin resistance. Diabetes. 2007;56:1761-1772. doi: 10.2337/db06-1491.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Grover M., Kanazawa M., Palsson O. S., Chitkara D. K., Gangarosa L. M., Drossman D. A., Whitehead W. E. Small intestinal bacterial overgrowth in irritable bowel syndrome: Association with colon motility, bowel symptoms, and psychological distress. Neurogastroenterol. Motil. 2008;20:998-1008. doi: 10.1111/j.1365-2982.2008.01142.x.</mixed-citation><mixed-citation xml:lang="en">Grover M., Kanazawa M., Palsson O. S., Chitkara D. K., Gangarosa L. M., Drossman D. A., Whitehead W. E. Small intestinal bacterial overgrowth in irritable bowel syndrome: Association with colon motility, bowel symptoms, and psychological distress. Neurogastroenterol. Motil. 2008;20:998-1008. doi: 10.1111/j.1365-2982.2008.01142.x.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Lichtman S.N., Keku J., Schwab J. H., Sartor R. B. Hepatic injury associated with small bowel bacterial overgrowth in rats is prevented by metronidazole and tetracycline. Gastroenterology. 1991;100:513-519. doi: 10.1016/0016-5085(91)90224-9.</mixed-citation><mixed-citation xml:lang="en">Lichtman S.N., Keku J., Schwab J. H., Sartor R. B. Hepatic injury associated with small bowel bacterial overgrowth in rats is prevented by metronidazole and tetracycline. Gastroenterology. 1991;100:513-519. doi: 10.1016/0016-5085(91)90224-9.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Bergheim I., Weber S., Vos M., Krämer S., Volynets V., Kaserouni S., McClain C.J., Bischoff S. C. Antibiotics protect against fructose-induced hepatic lipid accumulation in mice: Role of endotoxin. J. Hepatol. 2008;48:983-992. doi: 10.1016/j.jhep.2008.01.035.</mixed-citation><mixed-citation xml:lang="en">Bergheim I., Weber S., Vos M., Krämer S., Volynets V., Kaserouni S., McClain C.J., Bischoff S. C. Antibiotics protect against fructose-induced hepatic lipid accumulation in mice: Role of endotoxin. J. Hepatol. 2008;48:983-992. doi: 10.1016/j.jhep.2008.01.035.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Kobayashi T., Iwaki M., Nakajima A., Nogami A., Yoneda M. Current Research on the Pathogenesis of NAFLD/NASH and the Gut-Liver Axis: Gut Microbiota, Dysbiosis, and Leaky-Gut Syndrome.Int J Mol Sci. 2022 Oct 2;23(19):11689. doi: 10.3390/ijms231911689.</mixed-citation><mixed-citation xml:lang="en">Kobayashi T., Iwaki M., Nakajima A., Nogami A., Yoneda M. Current Research on the Pathogenesis of NAFLD/NASH and the Gut-Liver Axis: Gut Microbiota, Dysbiosis, and Leaky-Gut Syndrome.Int J Mol Sci. 2022 Oct 2;23(19):11689. doi: 10.3390/ijms231911689.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Harte A.L., da Silva N. F., Creely S. J. et al. Elevated endotoxin levels in non-alcoholic fatty liver disease. J. Inflamm. 2010;7:15. doi: 10.1186/1476-9255-7-15.</mixed-citation><mixed-citation xml:lang="en">Harte A.L., da Silva N. F., Creely S. J. et al. Elevated endotoxin levels in non-alcoholic fatty liver disease. J. Inflamm. 2010;7:15. doi: 10.1186/1476-9255-7-15.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Pendyala S., Walker J. M., Holt P. R. A high-fat diet is associated with endotoxemia that originates from the gut. Gastroenterology. 2012;142:1100-1101.e2. doi: 10.1053/j.gastro.2012.01.034.</mixed-citation><mixed-citation xml:lang="en">Pendyala S., Walker J. M., Holt P. R. A high-fat diet is associated with endotoxemia that originates from the gut. Gastroenterology. 2012;142:1100-1101.e2. doi: 10.1053/j.gastro.2012.01.034.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Boursier J., Mueller O., Barret M. et al. The severity of nonalcoholic fatty liver disease is associated with gut dysbiosis and shift in the metabolic function of the gut microbiota. Hepatology. 2016;63:764-775. doi: 10.1002/hep.28356.</mixed-citation><mixed-citation xml:lang="en">Boursier J., Mueller O., Barret M. et al. The severity of nonalcoholic fatty liver disease is associated with gut dysbiosis and shift in the metabolic function of the gut microbiota. Hepatology. 2016;63:764-775. doi: 10.1002/hep.28356.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Leung C., Rivera L., Furness J. B., Angus P. W. The role of the gut microbiota in NAFLD. Nat. Rev. Gastroenterol. Hepatol. 2016;13:412-425. doi: 10.1038/nrgastro.2016.85.</mixed-citation><mixed-citation xml:lang="en">Leung C., Rivera L., Furness J. B., Angus P. W. The role of the gut microbiota in NAFLD. Nat. Rev. Gastroenterol. Hepatol. 2016;13:412-425. doi: 10.1038/nrgastro.2016.85.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Zhu L., Baker S. S., Gill C., Liu W., Alkhouri R., Baker R. D., Gill S. R. Characterization of gut microbiomes in nonalcoholic steatohepatitis (NASH) patients: A connection between endogenous alcohol and NASH. Hepatology. 2013;57:601-609. doi: 10.1002/hep.26093.</mixed-citation><mixed-citation xml:lang="en">Zhu L., Baker S. S., Gill C., Liu W., Alkhouri R., Baker R. D., Gill S. R. Characterization of gut microbiomes in nonalcoholic steatohepatitis (NASH) patients: A connection between endogenous alcohol and NASH. Hepatology. 2013;57:601-609. doi: 10.1002/hep.26093.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Dawes E.A., Foster S. M. The formation of ethanol in Escherichia coli. Biochim. Biophys. Acta. 1956;22:253-265. doi: 10.1016/0006-3002(56)90148-2.</mixed-citation><mixed-citation xml:lang="en">Dawes E.A., Foster S. M. The formation of ethanol in Escherichia coli. Biochim. Biophys. Acta. 1956;22:253-265. doi: 10.1016/0006-3002(56)90148-2.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Baker S.S., Baker R. D., Liu W., Nowak N. J., Zhu L. Role of alcohol metabolism in non-alcoholic steatohepatitis. PLoS ONE. 2010;5: e9570. doi: 10.1371/journal.pone.0009570.</mixed-citation><mixed-citation xml:lang="en">Baker S.S., Baker R. D., Liu W., Nowak N. J., Zhu L. Role of alcohol metabolism in non-alcoholic steatohepatitis. PLoS ONE. 2010;5: e9570. doi: 10.1371/journal.pone.0009570.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Zhu L., Baker R. D., Zhu R., Baker S. S. Gut microbiota produce alcohol and contribute to NAFLD. Gut. 2016;65:1232. doi: 10.1136/gutjnl-2016-311571.</mixed-citation><mixed-citation xml:lang="en">Zhu L., Baker R. D., Zhu R., Baker S. S. Gut microbiota produce alcohol and contribute to NAFLD. Gut. 2016;65:1232. doi: 10.1136/gutjnl-2016-311571.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Guercio Nuzio S., Di Stasi M., Pierri L., Troisi J. et al. Multiple gut-liver axis abnormalities in children with obesity with and without hepatic involvement. Pediatr. Obes. 2017;12:446-452. doi: 10.1111/ijpo.12164.</mixed-citation><mixed-citation xml:lang="en">Guercio Nuzio S., Di Stasi M., Pierri L., Troisi J. et al. Multiple gut-liver axis abnormalities in children with obesity with and without hepatic involvement. Pediatr. Obes. 2017;12:446-452. doi: 10.1111/ijpo.12164.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Lim J.S., Mietus-Snyder M., Valente A., Schwarz J. M., Lustig R. H. The role of fructose in the pathogenesis of NAFLD and the metabolic syndrome. Nat Rev Gastroenterol Hepatol. 2010 May;7(5):251-64. doi: 10.1038/nrgastro.2010.41.</mixed-citation><mixed-citation xml:lang="en">Lim J.S., Mietus-Snyder M., Valente A., Schwarz J. M., Lustig R. H. The role of fructose in the pathogenesis of NAFLD and the metabolic syndrome. Nat Rev Gastroenterol Hepatol. 2010 May;7(5):251-64. doi: 10.1038/nrgastro.2010.41.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Softic S., Gupta M. K., Wang G. X. et al. Divergent effects of glucose and fructose on hepatic lipogenesis and insulin signaling. J Clin Invest. 2017 Nov 1;127(11):4059-4074. doi: 10.1172/JCI94585.</mixed-citation><mixed-citation xml:lang="en">Softic S., Gupta M. K., Wang G. X. et al. Divergent effects of glucose and fructose on hepatic lipogenesis and insulin signaling. J Clin Invest. 2017 Nov 1;127(11):4059-4074. doi: 10.1172/JCI94585.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Cho Y.E., Kim D. K., Seo W., Gao B., Yoo S. H., Song B. J. Fructose Promotes Leaky Gut, Endotoxemia, and Liver Fibrosis Through Ethanol-Inducible Cytochrome P450-2E1-Mediated Oxidative and Nitrative Stress. Hepatology. 2021 Jun;73(6):2180-2195. doi: 10.1002/hep.30652.</mixed-citation><mixed-citation xml:lang="en">Cho Y.E., Kim D. K., Seo W., Gao B., Yoo S. H., Song B. J. Fructose Promotes Leaky Gut, Endotoxemia, and Liver Fibrosis Through Ethanol-Inducible Cytochrome P450-2E1-Mediated Oxidative and Nitrative Stress. Hepatology. 2021 Jun;73(6):2180-2195. doi: 10.1002/hep.30652.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Nicoletti A., Ponziani F. R., Biolato M., Valenza V., Marrone G., Sganga G., Gasbarrini A., Miele L., Grieco A.Intestinal permeability in the pathogenesis of liver damage: From non-alcoholic fatty liver disease to liver transplantation. World J. Gastroenterol. 2019;25:4814-4834. doi: 10.3748/wjg.v25.i33.4814.</mixed-citation><mixed-citation xml:lang="en">Nicoletti A., Ponziani F. R., Biolato M., Valenza V., Marrone G., Sganga G., Gasbarrini A., Miele L., Grieco A.Intestinal permeability in the pathogenesis of liver damage: From non-alcoholic fatty liver disease to liver transplantation. World J. Gastroenterol. 2019;25:4814-4834. doi: 10.3748/wjg.v25.i33.4814.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Paradis T., Bègue H., Basmaciyan L., Dalle F., Bon F. Tight Junctions as a Key for Pathogens Invasion in Intestinal Epithelial Cells.Int. J. Mol. Sci. 2021;22:2506. doi: 10.3390/ijms22052506.</mixed-citation><mixed-citation xml:lang="en">Paradis T., Bègue H., Basmaciyan L., Dalle F., Bon F. Tight Junctions as a Key for Pathogens Invasion in Intestinal Epithelial Cells.Int. J. Mol. Sci. 2021;22:2506. doi: 10.3390/ijms22052506.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Fukui H. Leaky Gut and Gut-Liver Axis in Liver Cirrhosis: Clinical Studies Update. Gut Liver. 2021 Sep 15;15(5):666-676. doi: 10.5009/gnl20032.</mixed-citation><mixed-citation xml:lang="en">Fukui H. Leaky Gut and Gut-Liver Axis in Liver Cirrhosis: Clinical Studies Update. Gut Liver. 2021 Sep 15;15(5):666-676. doi: 10.5009/gnl20032.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Fukui H. Gut-liver axis in liver cirrhosis: How to manage leaky gut and endotoxemia. World J Hepatol. 2015 Mar 27;7(3):425-42. doi: 10.4254/wjh.v7.i3.425.</mixed-citation><mixed-citation xml:lang="en">Fukui H. Gut-liver axis in liver cirrhosis: How to manage leaky gut and endotoxemia. World J Hepatol. 2015 Mar 27;7(3):425-42. doi: 10.4254/wjh.v7.i3.425.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Yu L.X., Schwabe R. F. The gut microbiome and liver cancer: mechanisms and clinical translation. Nat Rev Gastroenterol Hepatol. 2017 Sep;14(9):527-539. doi: 10.1038/nrgastro.2017.72.</mixed-citation><mixed-citation xml:lang="en">Yu L.X., Schwabe R. F. The gut microbiome and liver cancer: mechanisms and clinical translation. Nat Rev Gastroenterol Hepatol. 2017 Sep;14(9):527-539. doi: 10.1038/nrgastro.2017.72.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Kawaguchi T., Torimura T. Leaky gut-derived tumor necrosis factor-α causes sarcopenia in patients with liver cirrhosis. Clin Mol Hepatol. 2022 Apr;28(2):177-180. doi: 10.3350/cmh.2021.0246.</mixed-citation><mixed-citation xml:lang="en">Kawaguchi T., Torimura T. Leaky gut-derived tumor necrosis factor-α causes sarcopenia in patients with liver cirrhosis. Clin Mol Hepatol. 2022 Apr;28(2):177-180. doi: 10.3350/cmh.2021.0246.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Carpi R.Z., Barbalho S. M., Sloan K. P. et al. The Effects of Probiotics, Prebiotics and Synbiotics in Non-Alcoholic Fat Liver Disease (NAFLD) and Non-Alcoholic Steatohepatitis (NASH): A Systematic Review.Int J Mol Sci. 2022 Aug 8;23(15):8805. doi: 10.3390/ijms23158805.</mixed-citation><mixed-citation xml:lang="en">Carpi R.Z., Barbalho S. M., Sloan K. P. et al. The Effects of Probiotics, Prebiotics and Synbiotics in Non-Alcoholic Fat Liver Disease (NAFLD) and Non-Alcoholic Steatohepatitis (NASH): A Systematic Review.Int J Mol Sci. 2022 Aug 8;23(15):8805. doi: 10.3390/ijms23158805.</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Darmov I.V., Chicherin I. Yu. Pogorelsky I. P., Lundovskikh I. A., Durnev E. A. Survival of probiotic microorganisms in the gastrointestinal tract of experimental animals. Journal infectology. 2012;1(4):68-74. (in Russ.)@@ Дармов И. В., Чичерин И. Ю. Погорельский И. П., Лундовских И. А., Дурнев Е. А. Выживаемость микроорганизмов пробиотиков в желудочно-кишечном тракте экспериментальных животных. Журн. инфектологии. 2012;1(4):68-74.</mixed-citation><mixed-citation xml:lang="en">Darmov I.V., Chicherin I. Yu. Pogorelsky I. P., Lundovskikh I. A., Durnev E. A. Survival of probiotic microorganisms in the gastrointestinal tract of experimental animals. Journal infectology. 2012;1(4):68-74. (in Russ.)@@ Дармов И. В., Чичерин И. Ю. Погорельский И. П., Лундовских И. А., Дурнев Е. А. Выживаемость микроорганизмов пробиотиков в желудочно-кишечном тракте экспериментальных животных. Журн. инфектологии. 2012;1(4):68-74.</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Darmov IV, Chicherin IIu, Pogorel’skiĭ IP, Lundovskikh IA. [Survival of probiotic microorganisms in the conditions in vitro imitating the process of human digestion]. Eksp Klin Gastroenterol. 2011;(3):6-11.Russian. PMID: 21695946.@@ Дармов И. В., Чичерин И. Ю., Погорельский И. П., Лундовских И. А. Выживаемость микроорганизмов пробиотиков в условиях in vitro, имитирующих процесс пищеварения у человека. Экспериментальная и клиническая гастроэнтерология. 2011;3: 6-11.</mixed-citation><mixed-citation xml:lang="en">Darmov IV, Chicherin IIu, Pogorel’skiĭ IP, Lundovskikh IA. [Survival of probiotic microorganisms in the conditions in vitro imitating the process of human digestion]. Eksp Klin Gastroenterol. 2011;(3):6-11.Russian. PMID: 21695946.@@ Дармов И. В., Чичерин И. Ю., Погорельский И. П., Лундовских И. А. Выживаемость микроорганизмов пробиотиков в условиях in vitro, имитирующих процесс пищеварения у человека. Экспериментальная и клиническая гастроэнтерология. 2011;3: 6-11.</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Chicherin I. Yu., Darmov I. V., Pogorelsky I. P., Lundovskikh I. A., Gavrilov K. E. Survival of bifidobacteria and lactobacilli in vitro in gastric juice and duodenal contents of people. Medical almanac. 2012;1: 57-59. (in Russ.)@@ Чичерин И. Ю., Дармов И. В., Погорельский И. П., Лундовских И. А., Гаврилов К. Е. Выживаемость бифидо-бактерий и лактобактерий в условиях in vitro в желудочном соке и дуоденальном содержимом людей. Медицинский альманах. 2012;1: 57-59.</mixed-citation><mixed-citation xml:lang="en">Chicherin I. Yu., Darmov I. V., Pogorelsky I. P., Lundovskikh I. A., Gavrilov K. E. Survival of bifidobacteria and lactobacilli in vitro in gastric juice and duodenal contents of people. Medical almanac. 2012;1: 57-59. (in Russ.)@@ Чичерин И. Ю., Дармов И. В., Погорельский И. П., Лундовских И. А., Гаврилов К. Е. Выживаемость бифидо-бактерий и лактобактерий в условиях in vitro в желудочном соке и дуоденальном содержимом людей. Медицинский альманах. 2012;1: 57-59.</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Chicherin I. Yu., Pogorelsky I. P., Lundovskikh I. A., Darmov I. V., Shabalina M. R., Podvolotsky A. N.Comparative experimental evaluation of the effectiveness of modern probiotics, prebiotics, synbiotics and metabiotics for correction of intestinal microbiocenosis in animals with antibiotic-associated dysbiosis. Experimental and Clinical Gastroenterology. 2016;(7):106-120. (In Russ.)@@ Чичерин И. Ю., Погорельский И. П., Лундовских И. Г., Дармов И. В., Шабалина М. Р., Подволоцкий А. С. Сравнительная экспериментальная оценка эффективности современных пробиотиков, пребиотиков, синбиотиков и метабиотиков при коррекции нарушений микробиоценоза кишечника у животных с антибиотико-ассоциированным дисбиозом. Экспериментальная и клиническая гастроэнтерология. 2016;7(131):106-120.</mixed-citation><mixed-citation xml:lang="en">Chicherin I. Yu., Pogorelsky I. P., Lundovskikh I. A., Darmov I. V., Shabalina M. R., Podvolotsky A. N.Comparative experimental evaluation of the effectiveness of modern probiotics, prebiotics, synbiotics and metabiotics for correction of intestinal microbiocenosis in animals with antibiotic-associated dysbiosis. Experimental and Clinical Gastroenterology. 2016;(7):106-120. (In Russ.)@@ Чичерин И. Ю., Погорельский И. П., Лундовских И. Г., Дармов И. В., Шабалина М. Р., Подволоцкий А. С. Сравнительная экспериментальная оценка эффективности современных пробиотиков, пребиотиков, синбиотиков и метабиотиков при коррекции нарушений микробиоценоза кишечника у животных с антибиотико-ассоциированным дисбиозом. Экспериментальная и клиническая гастроэнтерология. 2016;7(131):106-120.</mixed-citation></citation-alternatives></ref><ref id="cit59"><label>59</label><citation-alternatives><mixed-citation xml:lang="ru">Minushkin O.N., Maslovsky L. V., Ardatskaya M. D., Bulanova M. I., Beilina N. I., Kolodkin A. M., Zverkov I. V., Gordienko E. S. Clinical and metabolic effects of metaprebiotic therapy for some functional bowel diseases. Experimental and Clinical Gastroenterology. 2021;(10):100-108. (In Russ.) doi: 10.31146/1682-8658-ecg-194-10-100-108.@@ Минушкин О. Н., Масловский Л. В., Ардатская М. Д., Буланова М. И., Бейлина Н. И., Колодкин А. М., Зверков И. В., Гордиенко Е. С. Клинико- метаболические эффекты терапии метапребиотиками некоторых функциональных заболеваний кишечника. Экспериментальная и клиническая гастроэнтерология. 2021;194(10): 100-108. doi: 10.31146/1682-8658-ecg-194-10-100-108.</mixed-citation><mixed-citation xml:lang="en">Minushkin O.N., Maslovsky L. V., Ardatskaya M. D., Bulanova M. I., Beilina N. I., Kolodkin A. M., Zverkov I. V., Gordienko E. S. Clinical and metabolic effects of metaprebiotic therapy for some functional bowel diseases. Experimental and Clinical Gastroenterology. 2021;(10):100-108. (In Russ.) doi: 10.31146/1682-8658-ecg-194-10-100-108.@@ Минушкин О. Н., Масловский Л. В., Ардатская М. Д., Буланова М. И., Бейлина Н. И., Колодкин А. М., Зверков И. В., Гордиенко Е. С. Клинико- метаболические эффекты терапии метапребиотиками некоторых функциональных заболеваний кишечника. Экспериментальная и клиническая гастроэнтерология. 2021;194(10): 100-108. doi: 10.31146/1682-8658-ecg-194-10-100-108.</mixed-citation></citation-alternatives></ref><ref id="cit60"><label>60</label><citation-alternatives><mixed-citation xml:lang="ru">Safronova A.I., Pyrieva E. A., Timoshina M. I., Toboleva M. A., Kolodkin A. M. Experience of using metaprebiotic products in the nutrition of children with constipation. Vopr. det. dietol. (Pediatric Nutrition). 2023; 21(4): 33-40. (In Russ.) doi: 10.20953/1727-5784-2023-4-33-40.@@ Сафронова А. И., Пырьева Е. А., Тимошина М. И., Тоболева М. А., Колодкин А. М. Опыт использования метапребиотических продуктов в питании детей с запорами. Вопросы детской диетологии. 2023; 21(4): 33-40. doi: 10.20953/1727-5784-2023-4-33-40.</mixed-citation><mixed-citation xml:lang="en">Safronova A.I., Pyrieva E. A., Timoshina M. I., Toboleva M. A., Kolodkin A. M. Experience of using metaprebiotic products in the nutrition of children with constipation. Vopr. det. dietol. (Pediatric Nutrition). 2023; 21(4): 33-40. (In Russ.) doi: 10.20953/1727-5784-2023-4-33-40.@@ Сафронова А. И., Пырьева Е. А., Тимошина М. И., Тоболева М. А., Колодкин А. М. Опыт использования метапребиотических продуктов в питании детей с запорами. Вопросы детской диетологии. 2023; 21(4): 33-40. doi: 10.20953/1727-5784-2023-4-33-40.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
